Junior Camp 2018 July 9-13 Camp Director: Bro Don Sheerin Camp Secretary: Bro Paul Kinney Online Registration Available at mochildrensministries.com Worker Registration Forms must be mailed! Registration is $135 per camper Register & pay $25 deposit by 6/18, $50 Late Fee after 6/18 (If deposit turned in after 6/18, cost will be $185 per camper. All registrations are non-refundable) Camper Registrations should be mailed to: Rev. Chris Johnson; 203 Lelia Drive, Kennett, MO 63857 Worker registration is $110 per approved worker (workers must apply & register by 6/11) Worker registrations must be mailed to: Rev. Chris Johnson; 203 Lelia Drive, Kennett, MO 63857 Register Early! $50 Late Fee After 6/18 Space is limited! We expect to be at capacity this year!
MO District Junior Camp 2018 Overview Date: Ages: Site: Cost: Arrive Monday, July 9th Registration begins @ noon Depart Friday, July 13th Dismissed at Noon 8 11 (Note the New Junior Camp Age) Pinecrest Campground; Cherokee Pass, MO $135 per camper If $25 deposit paid by 6/18, $50 Late Fee after 6/18 $110 per approved worker (due by 6/11) All registrations are non-refundable. How do I get there? Don t Forget: Campers and workers need to bring own bedding and towels Send all Camper application material to: Rev. Chris Johnson; 203 Lelia Drive Kennett, MO 63857 Online Registration Available At mochildrensministries.com Send all Worker application material to: Rev. Chris Johnson; 203 Lelia Drive Kennett, MO 63857 Camp Director: Bro Don Sheerin Camp Secretary: Bro Paul Kinney About Pinecrest Pinecrest Camp and Conference Center is a 300 acre retreat center, set aside and equipped for retreats, youth camps, and other group activities. Located just five miles from Fredericktown, Missouri, which is adjacent to the Mark Twain National Forest. www.pinecrestcamp.org
Camp Rules 2018 1. Campers are not permitted to leave the ground without permission from the Camp Director or his delegated representative. 2. No campers are allowed inside of or sitting on vehicles. 3. Concerning the conduct of couples of the opposite gender, public displays of affection such as kissing, hugging, holding hands, or any other action not conducive to good, Christian conduct will not be allowed. Couples are to remain in approved areas of the campus designated by the camp staff at all times. 4. All campers must attend and be prompt at all meals and meetings unless excused by the Camp Director or his delegated representative. 5. All registered campers are required to wear their name badges at all times excluding times of recreation. 6. Campers are not to enter another s living quarters except by permission of the Camp Director or a counselor of that living quarter. Boys are not permitted to enter the area of the girl s living quarters, nor vice-versa. 7. Being that youth camp is a place where we come to focus on our relationship with God and with other Apostolic young people, no camper or counselor shall have in their possession at any time: knives, guns, weapons, fireworks, drugs, tobacco products, alcoholic beverages, televisions, and any kind of electronic games or media, etc. 8. Vile, rude, or profane language is prohibited. 9. All should give respect to the camp grounds, buildings, and facilities. Anyone defacing or destroying property must pay the damage incurred. 10. Campers are permitted only in designated areas. 11. Every camper, counselor, and staff member must be responsible for his or her own bedding, bed, clothing, luggage, and personal belongings. 12. Athletic equipment and facilities are under the control of the Recreation Director and may be used as specified by him. 13. Campers and counselors are required to stay in their living quarters each night, from the time of lights out until time to rise, except for emergency. No change or switching of bed assignment is allowed without previous consent of the Camp Director or designated authority. 14. It is required that everyone dress modestly and groom themselves neatly at all times, with no makeup or non-functional jewelry. No clothing with vulgar, distasteful, or suggestive logos, pictures, or slogans is permitted. No clothing that is revealing or formfitting can be worn on the campground at any time. Girls: Dresses or a skirt and blouse must be worn, with dress or skirt length below the knee; no sleeveless clothing, cap sleeves; no low necklines; no thin or see through clothing, including T-shirt type material; no dresses or skirts with slits that go above the knee. Shoes must be worn outside of the dormitories. Boys: No facial hair; sideburns no longer than the middle of the ear; a neat and masculine haircut as follows - no hair covering any part of the ears, hair not to hang over the top of the collar. No shorts allowed. Regular slacks or jeans must be worn; wind pants and/or sweats will be only permitted during recreation. Shoes must be worn outside of the dormitories. 15. Those who fail to sign all requested forms will be sent home. 16. In the event of an unspecified situation not addressed by these rules, it shall be the responsibility of the Camp Executive Committee to make a discreet decision concerning the matter. 17. Any areas of disciplinary action that occur or may be deemed necessary will be referred to the Youth Camp Executive member designated to be in charge [District Superintendent, District Secretary, Youth/Sunday School Department President, Youth/Sunday School Department Secretary, or Youth/Sunday School Department Promotions Director]. The camp reserves the right to reject or dismiss any applicant [camper or counselor] not complying with the camp rules or who is deemed to have questionable character. 18. Only registered campers will be allowed on campus during daytime camp activities. Evening services are open to everyone. District Board Action Youth/Junior Camp Rules 11/04/04
Online Registration Available at mochildrensministries.com Missouri District United Pentecostal Church Junior Camp Registration Information and Medical Release Form PLEASE NOTE: Any camper arriving at camp without this form filled out and signed will be denied admission to camp. Campers Name: Sex: M/F Address: City: Parent/Guardian Contact #:( ) Mother/Guardian s Name: Father/Guardian s Name: City of Home Church: Age: State: Zip: Emergency Contact #: Emergency Contact #: Pastor s Name: Medical Information: Note: A nurse will be on duty at all times. Please send any medication & necessary instructions. 1. Date of last tetanus injection, if any: 2. Please indicate if camper has diabetes, epilepsy, and etc. 3. Has child been checked for head lice: If head lice were present, has child been treated Please Note ~ The following is for the Security & Safety of your Child. 1. Any child leaving the campus, must be checked out through the dorm supervisor and camp director or camp registrar. (This is to insure that no child is taken without permission and knowledge of parents or responsible person) 2. After camper is assigned a room, no room changes are permitted without Camp Registrar giving permission & updating all forms. For Parent/Guardian: I hereby give my permission to transport my child to any offsite activity, and for medical treatment by a doctor or hospital in case of an emergency or serious illness. I assume full responsibility for any & all expenses which may be incurred for any needed medical treatment. I also confirm that camp rules have been given to me and my child, and he/she will comply. Photography and videos will be taken during camp, and due to this fact, I understand that my child may be included in these photos and/or videos. My signature below allows these photos/videos to be used by UPCI Missouri Sunday School District, its affiliates and representatives, without compensation, with or without my or their name(s) for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. Signature of Parent/Guardian: Signature Forms Are Required for Each Camper For Camper: I have reviewed and agree to abide by all camp rules and will show a spirit of obedience and cooperation. Signature of Camper: For Pastor: The Pastor s signature signifies that camper has reviewed the camp rules, completed the camp registration form, & the Pastor will recommend this camper. Signature of Pastor:
Junior Camp Registration List Church Name Church City Church Pastor Boys Enrolled Girls Enrolled Total Junior Camp Ages 8-11 This side is for camp use only! [Camp Registration - $135.00 per camper] All Registrations are non-refundable $25 $110 $50 Camper s Name (Please Print Clearly) Age Sex Holy Dorm Pre- Bal. Late Total Ghost Room Reg. Due Fee Paid 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. Worker s Name (Must be 18 yrs. old & Holy Ghost filled; Workers - $110.00) (Workers Must register by June 11 th ) 1. 2. 3. 4. To avoid late fee of $50, your registration materials and money must be postmarked by Monday, June 18th. Send Camper Registration. Rev. Chris Johnson 203 Lelia Drive Kennett, MO 63857 Workers must Register by June 11 th. Send Workers Application and background check by June 11 th. Online Registration Available at mochildrensministries.com (Online Registration Ends 6/18/18)
Junior Camp Worker s Application Please print clearly and send to: Rev. Chris Johnson, 203 Lelia Drive, Kennett, MO 63857 This application is incomplete without the MO State Children Abuse or Neglect Form (NO Charge) Junior Camp Workers must be at least 18 years old and be filled with the Holy Ghost! Please type or print clearly: Name: [ ] Male [ ] Female Address: City: State: Zip Age: Marital Status: Phone: Church Home: Pastor: Church City: Have you received the Holy Ghost? What year? Have you been baptized in Jesus Name? What year? Are you presently active in your church? How? Have you ever been accused of or convicted of child abuse and/or child molestation? If yes, please explain: What is the condition of your health? [ ] Excellent [ ] Good [ ] Fair [ ] Poor Will you be willing to abide by the dress and conduct code of our camp and follow the instructions of camp leaders? Have you read the camp rules recently? I will cooperate with the Camp Leaders, pray for and with the campers, and will work hard in whatever I m asked to do. I certify the above information is true and wish to be considered for this year s Missouri District Junior Camp. Applicant s Signature Pastor s Signature Character Reference Signature